| Bridges Coordination Services | |
|
1060 Winton Ave Indianapolis IN 46224-6958 | |
| (317) 480-0421 | |
| Not Available |
| Full Name | Bridges Coordination Services |
|---|---|
| Speciality | Social Worker |
| Location | 1060 Winton Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Crystal Lea Mcavoy (CEO/OWNER) |
| Authorized Official Contact | 3174800421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Coordination Services 1060 Winton Ave Indianapolis IN 46224-6958 Ph: (131) 748-0042 | Bridges Coordination Services 1060 Winton Ave Indianapolis IN 46224-6958 Ph: (317) 480-0421 |
| NPI Number | 1750152740 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 0345685046 |
|---|---|
| Medicare Enrollment ID | O20240529001465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750152740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Provider Name | Sasha Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508387960 PECOS PAC ID: 0547614166 Enrollment ID: I20230929001561 |
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